McKenzy Duffey Leibowitz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18472 Issued in CA

Practice address

1427 Monterey Blvd
Ste 202
Hermosa Beach, CA 90254-3639

Phone

(310) 376-1338

NPI assigned

Jun 8, 2006

Last updated

Apr 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1457391195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26516 CRENSHAW BLVD",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902743970",
            "telephone_number": "310-541-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 MONTEREY BLVD",
            "address_2": "STE 202",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543639",
            "telephone_number": "310-376-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "MCKENZY",
        "middle_name": "DUFFEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lantos, DC
• Kieu Phuong Cac Le
• Connie Lee
• Elizabeth Sun Lee
• Nicole Danielle Lee, M.D.
• Linda Carolina Leija
• Bobbie Z Lesser, PHD
• Janet Leung, M.S., BCBA
• Derek V Levy, DC
• Stevon Jamal Lewis

• Physician Assistant in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.